Neighborhood Blight Support Survey Step 1 of 3 33% Blight Reporter Contact InformationName First Last PhoneEmail What's the zip code of your primary residence?Please select the affiliation that best describes you.IndividualNeighborhood Organization or AssociationCommunity Based OrganizationBusinessOther Blighted Property DetailsAddress of Blighted Property Street Address Address Line 2 City TNAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Upload Photos or Pictures of Blighted ConditionsPlease select as many options that best describe the blighted conditions of the property.Abandoned or Neglected LotAbandoned or Neglected StructureDerelict StructureStructural Violations – damaged or absent doors, windows, roof, siding, etc.Grass Exceeding 8 inchesExcessive Weeds, Weed Trees, Vines, Overgrown BrushFences/Hedges Obstructing Traffic View (line of sight)Stagnant Water, Unsecured/Unfenced Swimming PoolIllegal GraffitiImproper Storage of Vehicle/Parking on a Vacant LotDebris Located in the Street or the Public Right-of-WayPlease add any additional comments BAM should be aware of in regards to this property. THANK YOU FOR YOUR SUBMISSIONSomeone from our office will reach out to you to follow up on this report within the next three to five business days. Please press the submit button to complete the filing of your report.Consent I verify that the information submitted in this document is accurate and complete to my knowledge. I understand that I will be held accountable for any details provided.
